MRI breast c- unilateral at HCA FLORIDA PALMS WEST HOSPITAL
13001 SOUTHERN BLVD, LOXAHATCHEE, FL · HCA Florida Healthcare · · NPI 1528014669
not published by hospital
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
not published by hospital
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$89.01 with Freedom Health vs $2,012.00 with Aetna — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Freedom Health | MGMCR | $89.01 | — |
| Optimum | MGMCR | $89.01 | — |
| AvMed | HIX | $134.55 | — |
| Simply Healthcare Plans | MGMCR | $134.55 | — |
| Freedom Health | MGMCD | $165.60 | — |
| Molina | MCR | $196.65 | — |
| AvMed | FullyInsured | $217.35 | — |
| Health Sun Health Plan | MGMCR | $220.46 | — |
| AvMed | Select | $227.70 | — |
| AIDS Healthcare | MGMCR | $227.70 | — |
| AvMed | Empower | $227.70 | — |
| AvMed | Engage | $227.70 | — |
| AvMed | Flex | $227.70 | — |
| AvMed | Focus | $227.70 | — |
| MMM of FL (Health Advantage Plan) | MCR | $238.05 | — |
| United PPO | OptionsPPO | $245.29 | — |
| AvMed | ASOEO | $248.40 | — |
| Sunshine State Health Plan | QHP | $269.10 | — |
| Molina | HIX | $279.45 | — |
| Aetna | ASA | $310.50 | — |
| United | GlobalBenefitPlanAppendix | $465.75 | — |
| Palm Beach Juvenile Correction | GVT | $517.50 | — |
| Prime Health Sherriff | COMM | $517.50 | — |
| AvMed | JacksonFirstNetworkOON | $517.50 | — |
| Health Care District | COMM | $517.50 | — |
| Plotkin Health | COMM | $517.50 | — |
| United | AllPayerAppendix | $517.79 | — |
| Healthy Palm Beaches | COMM | $550.00 | — |
| Medica HealthCare | MCR | $600.30 | — |
| Multiplan | COMMPPOPRIMARYNETWORK | $776.25 | — |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $879.75 | — |
| Aetna | QHP | $1,200.00 | — |
| AIDS Healthcare | MGMCD | $1,242.00 | — |
| Aetna | HMO | $1,462.00 | — |
| Aetna | PPO | $2,012.00 | — |
Visitor-reported prices
Comments
MRI breast c- unilateral at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Tampa | Tampa | $1,928.17 | $249.17 – $553.15 |
| Adventhealth Port Charlotte | Port Charlotte | $1,025.07 | $249.17 – $454.98 |
| cleveland clinic florida weston hospital | Weston | $1,769.95 | $67.12 – $1,772.25 |
| martin north hospital | Stuart | $1,355.25 | $68.58 – $1,042.50 |
| indian river hospital | Vero Beach | $414.70 | $67.12 – $638.00 |
| Baptist Hospital | MIAMI | $2,733.25 | $151.97 – $3,784.50 |
| Bethesda Hospital East | BOYNTON BEACH | $2,733.25 | $151.97 – $3,784.50 |
| Boca Raton Regional Hospital | BOCA RATON | $2,041.00 | $244.69 – $1,579.61 |